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Individual

THEODORE LAWRENCE KATNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1301 PLEASANT VALLEY RD, SUITE 500C, OWENSBORO, KY 42303-9774
(270) 417-7830
(270) 417-7839
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4820

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R2298
KY
2084N0400X
Neurology Physician
27089
WV
2084N0400X
Neurology Physician
R2298
KY
2084N0400X
Neurology Physician
Primary
TP058
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R2298
LICENSE NUMBER
KY
Enumeration date
05/24/2009
Last updated
04/08/2022
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